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اتلاف منابع بیمارستانی طرح تحول سلامت در زمینه اطلاعات و اسناد پزشکی و راهکارهای کاهش آن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار، مدیریت خدمات بهداشتی درمانی، مرکز تحقیقات مدیریت و اقتصاد سلامت و گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشجوی کارشناسی ارشد، مرکز تحقیقات مدیریت و اقتصاد سلامت و گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استادیار، اقتصاد سلامت، مرکز تحقیقات مدیریت و اقتصاد سلامت و گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: نقص سیستم‌های اطلاعات بیمارستانی، منجر به عدم وصول درامد بیش از 30 درصد خدمات ارایه شده می‌گردد. پژوهش حاضر با هدف شناسایی نقاط اتلاف اطلاعات و اسناد پزشکی در طرح تحول سلامت و ارایه راهکار انجام شد.روش بررسی: این مطالعه از نوع کیفی و تحلیل محتوا بود. به منظور شناسایی اتلاف منابع بیمارستانی و راهکارهای کاهش هزینه، پایگاه‌های PubMed، Irandoc، Scientific Information Database (SID)، Google Scholar و Magiran با استفاده از کلید واژه‌های «اتلاف، اطلاعات، اسناد، هزینه و کاهش هزینه، طرح تحول سلامت» مورد جستجو قرار گرفت و مقالات مرتبط استخراج گردید. برای تأیید و دسته‌بندی اتلاف‌ از تکنیک گروه اسمی و جهت تأیید راهکارها از بحث گروهی متمرکز استفاده شد.یافته‌ها: مهم‌ترین نقاط اتلاف شناسایی شده در حوزه اطلاعات و اسناد پزشکی بیمارستان شامل «الزامات اداری تکراری و ناهماهنگ، پراکنده بودن اطلاعات بیماران و افزایش کسورات بیمه‌ها» و مهم‌ترین راهکارهای کاهش هزینه شامل «ترسیم مسیر درست حرکت داده از بیمارستان تا سطح وزارت، ایجاد نرم‌افزار استاندارد برای تأیید صلاحیت و اوضاع مطالبات، برنامه‌های الکترونیک بیمار محور و کاهش کسورات بیمه‌ای» بود.نتیجه‌گیری: اطلاعات و اسناد پزشکی، مبنای تصمیمات مدیران بیمارستانی می‌باشد. از آن‌جا که امروزه اهمیت مدیریت مالی بسیار بیشتر از قبل شده است و با توجه به محدودیت منابع، به نظر می‌رسد که میدان مانور مدیران برای مدیریت مصرف، کاهش هزینه‌ها از طریق حذف یا کاهش اتلاف منابع است.

کلیدواژه‌ها

عنوان مقاله [English]

Hospital Resource Wastage in Health Transformation Plan in Iran, and Cost Containment Approaches in the Field of Hospital Information and Medical Records

نویسندگان [English]

  • Masoud Ferdosi 1
  • Maryam Barati 2
  • Mohammadreza Rezayatmand 3

1 Associate Professor, Health Services Management, Health Management and Economics Research Center AND Department of Health Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran

2 MSc Student, Health Services Management, Health Management and Economics Research Center AND Department of Health Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Health Economics, Health Management and Economics Research Center, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Introduction: Defect of hospital information systems leads to decrease income in public hospitals, such that more than 30% of the services provided are not reimbursement. The purpose of this article was to identify hospital resources wastages in health transformation plan (HTP) in Iran, and how to avoid the waste of resources and cost-containment approaches in the field of health information and medical record.Methods: The present original research was a kind of content analysis and applied studies. In order to identify hospital resources wastage and cost-control approaches, PubMed, Irandoc, Scientific Information Database (SID), Google Scholar, and Magiran databases were searched using the keywords of Information, Records, Cost and Cost Control, health transformation plan, and related articles were extracted. Nominal group technique was used to confirm and categorize wastage, and a focused group discussion was used to confirm the approaches.Results: The most considerable resource wastage factors in the field of medical information and records were duplicate and inconsistent administrative requirements, dispersion of patient information, and increase the insurance deductions; and the most important cost-containment approaches included mapping the right route of data from hospital to Ministry of Health, creating standard software for validation and claim status, setting up a notification system with patient-centered patient programs, and reducing the insurance deductions.Conclusion: Medical records and hospital information are the basis of all evidence-based decisions. Since today's financial management is much more important than before, also due to resource constraints, it seems that it is possible through reducing costs by eliminating or reducing waste of resources.

کلیدواژه‌ها [English]

  • Medical Records
  • Cost Control
  • Health Care Reform
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مدیریت اطلاعات سلامت
دوره 15، شماره 6 - شماره پیاپی 6
اسفند 1397
صفحه 266-273
فایل ها
هم رسانی
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